Provider Demographics
NPI:1033458351
Name:CENTER FOR PAIN MANAGEMENT, LLC
Entity Type:Organization
Organization Name:CENTER FOR PAIN MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:LOEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-881-7546
Mailing Address - Street 1:8455 COLESVILLE RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3315
Mailing Address - Country:US
Mailing Address - Phone:301-588-0505
Mailing Address - Fax:
Practice Address - Street 1:8455 COLESVILLE RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3315
Practice Address - Country:US
Practice Address - Phone:301-588-0505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty